Bekovile Greater Swiss Mountain Dogs puppy application
Our first priority is that our puppies livefull and happy lives in a home with people who love them as part of the family.We are committed to placing puppies in loving and responsiblehomes. Completion of this inquiry form helps us in that process and is away of introducing yourself and your family to us.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
How did you hear of us? If referred - referred by whom?
How did you hear of this breed?
Why do you want a Swissy
*
Have you encountered a Swissy?
Yes
No
Are you aware that Swissies shed?
Yes
No
Are you interested in a male or female puppy?
Male
Female
Type of Home:
House
Condo
Apartment
Mobile Home
Other
If you rent your dwelling would you allow us tocontact your landlord?
Yes
No
Landlord Name
First Name
Last Name
Landlord Adress
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Landlord Phone Number
Please enter a valid phone number.
How long have you lived at this address?
Floor surfaces (select all that apply)?
Carpet
Vinyl
Tile
Wood
Who will be the primary care giver?
Where will the puppy be kept during the night?
Where will the puppy be kept during the day?
Will anyone be home during the day?
Yes
No
Will there be someone available to feed and exercisethe puppy during the day?
Yes
No
How many hours on the average will the puppy be left alone?
0-2
2-4
4-6
6-8
More then 8 hours
Do you have any children?
Yes
No
If yes you have children, what are their ages?
If no children, do you plan to have children in the next 2 years?
Yes
No
Does any member of yur household have allergies to animals?
Yes
No
If yes, allergies to what and how severe?
Do you currently have any other animals?
Yes
No
If yes what kind of pets do you have?
Have you ever owned a dog before?
Yes
No
If yes, what breeds have you owned?
How long did your last pet live?
What were the circumstances of its death?
Have you ever returned a pet to the breeder?
Yes
No
If yes, what were the circumstances?
Have you ever given a pet away?
Yes
No
If yes, what were the circumstances?
Have you ever taken a pet to a pound or shelter?
Yes
No
If yes, what were the circumstances?
Do we have your permission to contact your Vet?
Yes
No
Veterinarian Information:
First Name
Last Name
Veterinarian Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Veterinarian Phone Number
Please enter a valid phone number.
What do you expect the activity level of this puppy to be?
Very High
High
Moderate
Below Average
How many hours a day will the puppy be outside?
How will this puppy be confined when he is outside?
Do you have a fenced yard?
Yes
No
Will you be attending any training classes?
Yes
No
other
Have you ever house trained a dog before?
Yes
No
Have you ever crate trained a dog before?
Yes
No
Are you interested in competition in performance events such as Conformation, obedience, agility, carting, pack hike, etc.?
Conformation
Obedience / Rally
Agility
Drafting
Weight Pull
Pack Hike
Do you intend to breed the dog?
*
Yes
No
Plan to wait to spay:
*
Yes
No
Other Comments:
Submit
Should be Empty: